• Provider Contracts Manager

    Molina Healthcare (Warren, MI)
    …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
    Molina Healthcare (06/26/25)
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  • Lead Contract Analyst

    University of Rochester (Rochester, NY)
    … contract costs, budget allocations, and payments. Identifies advanced cost optimization opportunities and strategic cost -saving initiatives. + Maintains ... professional relationships with managers and project managers to provide guidance and clarifications on contract requirements...looking for a career in higher education or health care , the University of Rochester may offer the perfect… more
    University of Rochester (07/31/25)
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  • Senior Provider Network Management…

    Corewell Health (Grand Rapids, MI)
    …Functions + Responsible for contributing to the development and execution of provider strategy and solutions for assigned Accountable Care Networks. ... and approaches to help providers maximize performance potential + Provide relationship management and accountable care network...+ Manage and implement programs to drive down total cost of care through utilization and medical… more
    Corewell Health (07/24/25)
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  • Contract Officer III

    Stony Brook University (Ronkonkoma, NY)
    Contract Officer III **Position Summary** **The Contract...to procure services for the hospital at a reasonable cost and in a timely manner to ensure that ... patient care is not compromised, while adhering to the mandatory...Brook University Hospital policies and procedures. **Duties of a Contract Officer III may include the following, but are… more
    Stony Brook University (06/24/25)
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  • Representative, Provider Relations HP

    Molina Healthcare (NE)
    …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
    Molina Healthcare (08/02/25)
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  • Manager, Provider Relations

    Molina Healthcare (Houston, TX)
    …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
    Molina Healthcare (06/22/25)
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  • Facilities Contract Manager

    Cleveland Clinic (Cleveland, OH)
    …requirements at the lowest lifecycle cost . You will also provide operations management and contract administration for enterprise-wide outsourced facilities ... Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Cleveland Clinic is recognized as… more
    Cleveland Clinic (08/02/25)
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  • Nursing: Contract Instructor-College Credit

    San Diego Community College District (San Diego, CA)
    …to the approved course outlines, education code requirements, and faculty contract provisions; provide student feedback and guidance; evaluate students' ... California Board of Registered Nursing's 16 CCR 1425 states that Nursing Faculty must provide direct patient care experience within the previous five (5) years… more
    San Diego Community College District (07/28/25)
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  • Member/ Provider MCO Analyst

    Iowa Department of Administrative Services (Des Moines, IA)
    …Department of Health and Human Services (HHS), Division of Medicaid, Bureau of Managed Care Reporting and Oversight is seeking a Member/ Provider MCO Analyst to ... Member/ Provider MCO Analyst Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5023677) Apply  Member/...you will support the oversight and monitoring of Managed Care Organizations (MCOs) to ensure they meet contractual requirements… more
    Iowa Department of Administrative Services (07/30/25)
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  • Provider Compensation Analyst

    Rochester Regional Health (Rochester, NY)
    … provider compensation structure. + Designs and maintains spreadsheet cost models to conduct individual, service line, and/or system-wide compensation analysis ... to internal compensation pay practices. + Responsible for maintaining and updating provider compensation databases. + Administers contract changes and performs… more
    Rochester Regional Health (07/29/25)
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